A Young adolescent with undiagnosed ADHD-inattentive presentation and co-morbid anxiety and depression: A case report.

This case report discusses a young adolescent with attention deficit hyperactivity disorder (ADHD) - inattentive presentation, and comorbid anxiety and depression that was not diagnosed until age 13. However, most ADHD is diagnosed before age 12. Anxiety and depression are common comorbidities of ADHD that present in primary care and can mimic the symptoms of ADHD.

A Near Miss in the Emergency Department: Atypical Presentation of Acute Coronary Syndrome.

Acute coronary syndrome is an umbrella term encompassing three types of coronary artery disease that affect millions worldwide annually. Despite the availability of diagnostic tests (blood analysis, imaging, electrocardiogram, and screening tools), the diagnosis of myocardial infarction (MI) is still sometimes missed. According to the Centers for Disease Control and Prevention, the reported prevalence of heart disease is higher among males than females, with adults over the age of 75 having the highest prevalence.

Priapism in a Young Adult With Sickle Cell Disease.

This article presents a case study focusing on priapism in a patient with sickle cell disease, with repeated emergency department (ED) visits and hospitalizations. The patient was successfully identified and treated by the ED nurse practitioner (NP) with aspiration of the corpus cavernosum. Priapism is a persistent penile erection that continues for an extended time.

Ureterolithiasis in Adolescents: A Case Report.

A 13-year-old patient presented to the emergency department with a history of abdominal pain and right flank pain. Two days before, she was evaluated at her pediatrician's office and was diagnosed with acute gastroenteritis and sent home. In the emergency department, the patient was diagnosed with ureterolithiasis after a physical examination, laboratory work, and imaging findings.

Improving Telehealth Knowledge in Nurse Practitioner Training for Rural and Underserved Populations.

Background: Telehealth is an emerging technology for the delivery of health care services. Providers need to be trained to maximize the potential benefits for rural and underserved populations.

Method: A quality improvement approach to curricular redesign was used to integrate telehealth in a family nurse practitioner program.

Atypical or Incomplete Kawasaki Disease in a Young Child: A Case Report.

This case report describes an atypical or incomplete presentation of Kawasaki Disease. Kawasaki Disease is an inflammatory process that can affect all blood vessels and result in cardiac complications; particularly coronary artery aneurysms. Patients are typically young children, usually younger than 5 years of age, who initially present with a high fever and nonspecific rash.

Helping children gain asthma control: bundled school-based interventions.

Following the success of a community asthma quality improvement initiative to improve outcomes for children with asthma attending Cincinnati Public Schools with school-based health centers (SBHC), several members of the original initiative formed a new asthma improvement collaborative to spread the initiative's improvement work to inner-city children with asthma attending other schools with and without SBHCs. This article describes the collaborative's plan, which features a nurse practitioner using bundled, evidence-based, school-based interventions to improve asthma control for inner-city children in high poverty schools.